The Asylum surgeon's ring is a reward for completing Broken Home in under 37 minutes after the initial completion of the quest, as well as completing all the other designated challenges beforehand. It requires level 85 Defence to wear and grants bonuses to Strength, Ranged, and Magic. Wearing the ring gives the player;

Two passive effects: 50% chance of restoring up to 5% adrenaline when a target is killed; teleports the wearer to their respawn point with all of their items when they die, at a cost of 15% charge (effective cost 555,270.3 coins)